Insights into cultural and compliance challenges in type 2 diabetes care: A qualitative study of Moroccan and Belgian patients in Belgium.

Journal: PloS one

Volume: 19

Issue: 11

Year of Publication: 2024

Affiliated Institutions:  Mental Health & Wellbeing research group, Department of Public Health, Vrije Universiteit Brussel, Brussels, Belgium. Department of Endocrinology & Diabetology, Universitair Ziekenhuis Brussel, Brussels, Belgium.

Abstract summary 

To explore factors that may contribute to a possible reduced compliance in patients with type 2 diabetes mellitus (T2DM) with a migrant (i.e. North African) background living in a western society.Semi-structured interviews with people with T2DM both of Moroccan and Belgian origin, recruited within the diabetes clinic of the University Hospital Brussel, Belgium. Data was analysed thematically using NVivo.Participants indicated they were adequately informed about T2DM, however results show a demand for culturally tailored preventive education for Moroccan participants. Both groups generally had good knowledge of a healthy lifestyle and what is expected after diagnosis, but considered maintaining healthy lifestyle and correct medication adherence, intensive. Participants mentioned a wide range of themes that affected their compliance, both positively and negatively. Perceived barriers were social issues, lack of motivation, insufficient support from the environment, stress, forgetfulness, winter conditions and COVID. Culturally shaped views on eating habits, illness, medication use and health were clear barriers in the Moroccan group.Findings highlight the need for future in depth research into diabetes related knowledge within the Moroccan community living in Belgium (and similar other Western countries) whilst considering differences between generations of migrants, gender and level of education.

Authors & Co-authors:  Six Stefaan S Israel David D Bilsen Johan J Kharagjitsing Aan A

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Sun H., et al.., IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 2022. 183: p. 109119. doi: 10.1016/j.diabres.2021.109119
Authors :  4
Identifiers
Doi : e0310800
SSN : 1932-6203
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Qualitative
Country of Study
Publication Country
United States